Requisition ID: 45777

Location: Presence Home Care Joliet

Location Address:
1060 Essington Rd, Joliet, IL 60435 United States (US)

Daily Hours: 8
Standard Hours: 40
Employment Status: Full-time
Employment Type: Regular
Shift: Day
FLSA: E

SUMMARY

The Document Review Coordinator is responsible for analyzing patient records to determine the appropriateness and accuracy of the plan of care and all documentation. Verification of compliance with established regulations and reimbursement policies.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Reviews OASIS assessment and OASIS coding for accuracy. Ensures the plan of care on the 485 reflects the accuracy of the OASIS assessment and primary focus. Ensures correlation between the patient's needs as identified in the clinical documentation and the resources allocated as indicated in the plan of care.

Correlates Case Mix Weight, HHRG scores, and ICD-9 coding for maximum services delivery, optimal outcomes, and fiscally responsible resource management.

Review admissions to assure appropriateness and accuracy.

Maintain compliance with all regulations and reimbursement policies.

Analyze insurance, governmental and accrediting agency standards to determine compliance.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Bachelor's degree in nursing, health related field or business required. Three years of Home Health experience including Performance Improvement experience.

Computer Skills

Proficient in Microsoft Office software., and Allscripts

Certificates, Licenses, Registrations

Registered Nurse with current Illinois License. Valid driver's license, current automobile liability insurance and access to an automobile during work. Basic Life Support (BLS) certification required. Certification in OASIS and IDC-10 required within six months of employment.

*SS

Business Unit: PLC Home Health Suburban
Department Name: Administration JOL PLC HH